Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use

ABSTRACT Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barri...

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Main Authors: Janaina Almeida Fernandes, Marianne Lucena da Silva, Ana Cristina Trancho, José Roberto de Deus Macedo, Henrique Resende Martins, Paulo Eugênio Silva
Format: Article
Language:English
Published: Universidade de São Paulo 2022-12-01
Series:Fisioterapia e Pesquisa
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502022000300245&tlng=en
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author Janaina Almeida Fernandes
Marianne Lucena da Silva
Ana Cristina Trancho
José Roberto de Deus Macedo
Henrique Resende Martins
Paulo Eugênio Silva
author_facet Janaina Almeida Fernandes
Marianne Lucena da Silva
Ana Cristina Trancho
José Roberto de Deus Macedo
Henrique Resende Martins
Paulo Eugênio Silva
author_sort Janaina Almeida Fernandes
collection DOAJ
description ABSTRACT Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barriers to its use in ICUs. This observational cross-sectional study was conducted via a structured questionnaire created by the authors. It consisted of 12 objective questions to analyze physical therapists’ knowledge of NMES use in critically ill patients. Physical therapists were invited to participate in this study during an international symposium on NMES. In total, 56 physical therapists, with a mean age of 33.5±7.2 years and working an average of 9.7±7 years after graduation, completed the survey. Overall, 34 respondents worked in ICUs, of which only four (12%) reported regular NMES use in their ICUs. We found a low average of correct answers to our questionnaire (25%; 3/12). The main barriers reported to using NMES in ICUs were lack of knowledge (28; 50%) and equipment (24; 43%). The number of correct answers expert and non-expert physical therapists was not statistically significant (p=0.68). Thus, we observed participants’ poor knowledge of NMES use in critically ill patients. Respondents showed that NMES has been underused in their ICUs. Lack of knowledge and equipment seems to be the main barriers for the use of NMES in ICUs.
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spelling doaj.art-a937162cfeb9486785f9acd3ad6209f02022-12-22T02:49:12ZengUniversidade de São PauloFisioterapia e Pesquisa2316-91172022-12-0129324525110.1590/1809-2950/21003529032022enAssessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its useJanaina Almeida Fernandeshttps://orcid.org/0000-0001-6312-4164Marianne Lucena da Silvahttps://orcid.org/0000-0002-7678-9007Ana Cristina Tranchohttps://orcid.org/0000-0002-3519-9895José Roberto de Deus Macedohttps://orcid.org/0000-0002-8239-6496Henrique Resende Martinshttps://orcid.org/0000-0002-4879-1345Paulo Eugênio Silvahttps://orcid.org/0000-0001-9153-0848ABSTRACT Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barriers to its use in ICUs. This observational cross-sectional study was conducted via a structured questionnaire created by the authors. It consisted of 12 objective questions to analyze physical therapists’ knowledge of NMES use in critically ill patients. Physical therapists were invited to participate in this study during an international symposium on NMES. In total, 56 physical therapists, with a mean age of 33.5±7.2 years and working an average of 9.7±7 years after graduation, completed the survey. Overall, 34 respondents worked in ICUs, of which only four (12%) reported regular NMES use in their ICUs. We found a low average of correct answers to our questionnaire (25%; 3/12). The main barriers reported to using NMES in ICUs were lack of knowledge (28; 50%) and equipment (24; 43%). The number of correct answers expert and non-expert physical therapists was not statistically significant (p=0.68). Thus, we observed participants’ poor knowledge of NMES use in critically ill patients. Respondents showed that NMES has been underused in their ICUs. Lack of knowledge and equipment seems to be the main barriers for the use of NMES in ICUs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502022000300245&tlng=enElectric StimulationMuscle WeaknessPolyneuropathiesIntensive Care Unit
spellingShingle Janaina Almeida Fernandes
Marianne Lucena da Silva
Ana Cristina Trancho
José Roberto de Deus Macedo
Henrique Resende Martins
Paulo Eugênio Silva
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
Fisioterapia e Pesquisa
Electric Stimulation
Muscle Weakness
Polyneuropathies
Intensive Care Unit
title Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
title_full Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
title_fullStr Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
title_full_unstemmed Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
title_short Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
title_sort assessment of neuromuscular electrical stimulation in critically ill patients physical therapists knowledge and barriers to its use
topic Electric Stimulation
Muscle Weakness
Polyneuropathies
Intensive Care Unit
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502022000300245&tlng=en
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